Adelante Healthcare · 3 weeks ago
Value Based Clinical Data Specialist
Phoenix, AZ
Contract
Hybrid
Entry Level
2+ years expAdelante Healthcare is dedicated to providing quality health services to its community. The Value Based Clinical Data Specialist will support patient engagement and care coordination under Value Based Contracts, ensuring that patient documentation is accurate and up to date while managing outreach and communication with patients and healthcare teams.
Health CareHospitalNon Profit
Responsibilities
Participate in Value Based Care team meetings and improvement initiatives, staff meetings, in-service meetings, or other required meetings
Engage patients and promotes health care gaps compliance through health and disease patient education
Extensive outreach efforts for well visits, high-risk patients, preventative screenings, and/or other populations as needed
Obtain patient records through various sources such as external portals or using our internal medical record request process
Reconcile medical records to and from the Electronic Health Record to ensure patient data is up to date within our EHR and the insurance provider
Ensure that patient documentation is available for uploads to reflect accuracy
Promote clear communication and ensures patient needs and requests are handled efficiently by communicating to the patients care team through our EHR and scheduling of patient initial and follow up appointments as needed
Perform administrative tasks like (but not limited to) Portal Uploads, Release of records, Referral Notes for any open active orders (3-6months), confirming appointments, etc
Help manage high-risk patient care, including management of patients with multiple co-morbidities and/or high risk for readmission to a hospital setting, including data entry/management, outreach attempts, and scheduling to improve patient outcomes
Work collaboratively with Value Based Care team for data collection, reporting, clinical audits and programmatic evaluation
Will perform high volume of daily patient outreach calls while still attending to incoming calls
Perform patient pre-registration including accessing and updating patient information as indicated
Perform data entry
Maintain schedule accuracy for maximum patient flow
Follow established procedures for answering and screening incoming appointment-related telephone calls, scheduling interpreters, and directing calls to appropriate staff
Constantly sustains and improves present expectations of internal and external patient clinical goals
Maintain good attendance, is punctual and works full scheduled shift
Coordinates continuity of patient care with external healthcare organizations and facilities such as referrals to outside specialties; ongoing two-way communication between providers
Maintain effective communication with team, office staff and providers across all health centers as needed
Facilitate patient care based upon standing orders and protocols
Ensure patient needs and requests are handled efficiently by performing telephonic patient scheduling of patient initial and follow up appointments
Identify preventable exams, gaps in care, and suspect conditions closure opportunities for payors and strategize submission in a timely manner
Consolidate submission outcomes in a clear and concise manner
Ensure all data is always ready and available as needed for further evaluation
Ensure payor audit needs and request are handled in an efficient and timely manner
Facilitate payor audit visit for in house medical record extraction and ensure compliance of visitors
Qualification
Required
Two (2) or more years' experience in a clinical setting
High school diploma or GED from an accredited institution
Graduation from an accredited medical assistant program
Certification to perform cardiopulmonary Resuscitation for the Health Care Professional (CPR) and AED through courses that follow the guidelines from the American Heart Association and Red Cross (cognitive and skills evaluations)
Demonstrated understanding of clinical methods and techniques used in record keeping systems
Demonstrates continuous attention to detail
Effective communication demonstrated by ability to read, interpret, comprehend and comply with written and verbal communication
Ability to communicate effectively with patients, co-workers, and our communities both in person and over the phone
Ability to multi-task and work effectively in a high-stress and fast-moving environment
Exceptional customer service, communication skills, problem solving and organizational skills
Strong computer efficiency in Microsoft Office suite (Word, Excel, PowerPoint, Outlook) and experience in Electronic Healthcare Records (EMR)
Works independently to meet deliverables and performs a variety of assignments requiring independent judgment
Provides and accepts support in a collaborative manner
Able to meet the organization's immunization requirements
Preferred
Previous call center experience strongly preferred
Bilingual (Spanish/English preferred)
Company
Adelante Healthcare
Adelante Healthcare offers medical, dental, behavioral counseling and primary healthcare services.
501-1000 employees
H1B Sponsorship
Adelante Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (5)
2024 (4)
2023 (1)
2022 (6)
2021 (7)
2020 (5)
Funding
Current Stage
Late StageTotal Funding
unknown2024-09-26Grant
Leadership Team
Pedro Cons
Chief Executive Officer
Recent News
2024-01-19
2024-01-19
Company data provided by crunchbase